長期的悲しみの治療における認知行動メカニズムの評価と調査
Kirsten V Smith1,2,3, Graham R Thew1,2, Sarah C Carr3
1Department of Experimental Psychology, University of Oxford, Oxford, UK.
European journal of psychotraumatology
|September 2, 2025
まとめ
この研究では 専門のグループによる介入が 長期的な悲しみの障害 (PGD),PTSD,鬱,不安を ガンで亡くした人の間で 大幅に減少させたことが分かりました この治療は 悲しみに関連した自己憐れみや 認知行動的要因も改善しました
科学分野:
- 心理学
- 腫瘍学
- メンタルヘルスの介入
背景:
- 癌の喪失は 長期的な悲しみの障害 (PGD),PTSD,鬱,不安など 深刻な感情的苦痛と関連しています
- 癌による死者を悼む人々の 精神的健康問題に対処するために 効果的な介入が必要なのです
研究 の 目的:
- がん関連の悲しみを経験している人々に対する 専門的な遺族慈善団体の 治療的グループ介入の有効性を評価する.
- 長期的な悲しみの障害 (PGD),PTSD,鬱,不安,自己憐憫に対する介入の影響を評価する.
主な方法:
- 5つのコホートにわたる合計68人の参加者は,認知行動要因と自己憐憫に焦点を当てた短期間のグループ介入を受けました.
- ランダム化が不足しているため,サービス評価では2016年と2018年のコホートからデータを組み合わせました.
- プライマリアウトカム:PGD症状 (PG-13);二次アウトカム:PTSD,うつ,不安,自己憐憫;プロセス測定:記憶の特徴,悲しみの評価,対処戦略,社会的脱却. 線形混合効果モデルを使って分析した.
主要な成果:
- 3ヶ月のフォローアップで,PGD症状 (d=0. 65),PTSD,うつ病,および不安の有意な減少が観察されました.
- 自己同情 (d=0. 53) と認知行動プロセス,特に記憶の特徴と否定的な評価の改善が認められた.
- 社会的な断絶は 大きく変わりませんでした ベースラインの低いマイナスの評価は,より良い結果を予測しました. 磨きは最小でしたが, 25% のフォローアップデータはありませんでした.
結論:
- グループによる介入は 悲しみと精神的健康に関する結果に ポジティブな影響を及ぼし,癌の喪中ケアにおける 認知行動的アプローチを支援しました
- 発見を確認し,ランダム化とデータの完全性の限界に対処するために,より大きなサンプルでさらなるランダム化試験が必要である.
さらに関連する動画
07:14A Quantitative Sensory Testing Paradigm to Obtain Measures of Pain Processing in Patients Undergoing Breast Cancer Surgery
Published on: January 18, 2018
9.4K
08:25Polar Histogram Visualization of Acute Stress Disorder Scale Scores for Comprehensive Clinical Assessment
Published on: December 6, 2024
515
関連する概念動画
01:17Bonanno's Theory of Grieving
155
Grieving is a complex psychological and emotional process that varies significantly among individuals. George Bonanno's research on bereavement identified four distinct patterns of grieving, offering a nuanced understanding of how people cope with significant loss, such as the death of a spouse, over extended periods. These patterns — resilience, recovery, chronic dysfunction, and delayed grief — highlight the diversity in emotional responses and adaptive mechanisms.
Resilience
Resilience
155
01:25Cognitive Therapy
262
Cognitive therapy, pioneered by Aaron T. Beck in the 1960s, is a structured approach to addressing psychological distress by focusing on the influence of thoughts on emotions and behaviors. All cognitive therapies involve the basic assumption that human beings have control over their feelings, and that how individuals feel about something depends on how they think about it. Unlike psychoanalytic methods that delve into unconscious processes or humanistic approaches emphasizing...
262
01:25Beck's Cognitive Therapy
107
Cognitive therapy is a psychological approach designed to address distortions in thinking, which can lead to negative emotions and unrealistic beliefs. These cognitive distortions often influence how individuals interpret and respond to situations, exacerbating emotional distress. Below are some prevalent cognitive distortions, their characteristics, and examples of how they manifest in thought processes.
Arbitrary Inference
Arbitrary inference involves making conclusions without sufficient...
Arbitrary Inference
Arbitrary inference involves making conclusions without sufficient...
107
01:21Kubler Ross's Stages of Dying
326
Elisabeth Kübler-Ross significantly advanced psychology's understanding of the process of dying with her influential book, On Death and Dying (1969). She focused on studying terminally ill individuals and outlined five stages commonly experienced when coping with death: denial, anger, bargaining, depression, and acceptance.
In denial, individuals reject the reality of their condition, often thinking, "This isn't true; I feel fine," as a way to protect themselves from...
In denial, individuals reject the reality of their condition, often thinking, "This isn't true; I feel fine," as a way to protect themselves from...
326
01:20Coping Strategies: Emotion Focused
147
Emotion-focused coping refers to a set of strategies aimed at managing the emotional impact of stressors, rather than directly addressing their causes. This approach involves altering one's emotional response to stressful situations to reduce their psychological effects. For example, individuals might talk with a friend or engage in activities like journaling to express their feelings. Such actions can help achieve emotional clarity or release, providing the psychological stability needed...
147
01:20Lazarus's Cognitive Appraisal Theory
506
Cognitive psychologist Richard Lazarus proposed the cognitive-mediational theory of emotions, which emphasizes how individuals' assessments of stressors significantly affect their experience of stress. According to Lazarus, the stress response is determined by a two-step appraisal process: primary appraisal and secondary appraisal. These cognitive appraisals help individuals evaluate the potential impact of a stressor and determine the adequacy of their coping resources.
Primary Appraisal:...
Primary Appraisal:...
506